Pennsylvania Medicaid home-care fraud investigation evokes similarities to Minnesota cases

The Justice Department’s newly expanded fraud task force has launched a significant initiative against Medicaid fraud in Pennsylvania this month, which has drawn parallels to the extensive fraud scandal in Minnesota, yet there’s a notable difference in this case. Officials from both political parties in Pennsylvania voiced their frustration after the indictment of nearly two […]
New York’s home-care fraud case reveals the flaws in Medicaid’s incentives

Even though Medicaid gets federal funding and is run by state governments, individuals who rely on this program often have limited control over their care providers and the costs involved. This situation highlights inherent flaws. States have a strong incentive to maximize federal matching funds, while federal taxpayers end up shouldering much of the financial […]
Stefanik urges the DOJ to intensify its investigation of Hochul’s homecare program after significant email disclosure

Investigation Into Medicaid Contract Allegations Intensifies Congresswoman Elise Stefanik is urging federal authorities to enhance their inquiry into claims of bid rigging linked to the Hochul administration concerning a $1 billion Medicaid home health contract. This call for action follows the emergence of emails indicating that state officials interacted with representatives from the winning bidder […]
State senator presents fresh evidence indicating NY’s huge $11B homecare contract may have been manipulated.

New York Senators Probe Medicaid Home Health Contract On Thursday, New York State Senators unveiled evidence related to a controversial contract process concerning the $11 billion Medicaid home health program. One senator, clearly frustrated, called for a hearing in Lower Manhattan following ongoing debates about enhancing the personal assistance program for consumers. Lawmakers spent considerable […]
Scammers ripped off NY’s controversial Medicaid homecare program for $68M: feds

Two Brooklyn-based companies defrauded the state's controversial Medicaid home health program out of $68 million, federal prosecutors alleged this week. Eight indicted fraudsters, including the owners of two adult day care facilities, allegedly orchestrated a multi-year kickback and bribery scheme to defraud state programs, according to an indictment unsealed Wednesday. . The Consumer Personal Assistance […]
Homecare ‘middlemen’ sue to stop Gov. Hochul’s proposed Medicaid program overhaul

Governor Hockle’s plan to overhaul the fraud-ridden $9 billion Medicaid home care program, the system that allows New Yorkers to get paid to care for the elderly, is facing a lawsuit from “middleman” companies that act as payroll agents between Medicaid and caregivers. During state budget negotiations earlier this year, the governor quietly pushed through […]